HomeMy WebLinkAboutPermit Building 2002-3-18
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I Job# 02-00075-01 I
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Page 1 of 2
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 3943 Virginia Ave Spr
Assessors Map#: 17023144
Lot: Block: Addition:
Owner:
Dan Huff
95 Santon
Address:
Scope Of Work: Dry Rot
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calling the cent '. .' ~r:\ l~ltTty-Notlflcation
MecftomtJ9l<Jof'l'he.Ql~'I"Itm ~I 344) ,
Cer:rt~rIS~~~nrJn'-~ugerie, OR 97404
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Quad Are'a:
# Of Units:
Constr. Type:
Water Heater:
Job Number: 02-00075-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 02300
Subdivision:
Phone Number: 541-607-0491
City/State/Zip: Eugene, OR 97404
Repair Value: $500
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RegistrlMS I#ER&'('p~t l!?~RE IFT~f!<weRK
AUTHORIZED UNbERTHIS PeRMMs~
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. 541-607 -0491
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day', inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Building
- Prior to cover.
- When all required inspections have been approved and the building is complete.
I Plumbing
- Prior to insulation or decking.
- Prior to cover.
- When all plumbing work is complete.
Mechanical
Framing
Final Building
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Rough Mechanical
Final Mechanical
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- Prior to cover.
- When all mechanical work is complete.
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Job# ()2~()()075-01
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Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings: /
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building
01/22/2002 7833
01/22/2002 7833
01/22/2002 7833
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
500
$45.00
$3.15
$3.60
$51.75
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
01/22/2002 7833
01/22/2002 7833
01/22/2q,02 7833
01/22/2002 . 7833
2
$17.00
$28.00
$3.15
$3.60
$51.75
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
03/18/2002 8334
03/18/2002 8334
03/18/2002 8334
03/18/2002 8334
03/18/2002 8334
1
$39.00
$3.60
$6.00
$10.00
$3.15
$61.75
Grand Total $165.25
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correCt, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
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Sign~ture / . f. Date